About the Company
UnitedHealth Group is a diversified healthcare company dedicated to helping people live healthier lives and helping make the health system work better for everyone. We serve millions of people and work with healthcare professionals and care providers in all 50 states and more than 130 countries. Our mission is to help people live healthier lives and help make the health system work better for everyone.
Job Description
UnitedHealth Group is seeking a dedicated and detail-oriented Prior Authorization Tech to join our fully remote team. This is a 100% remote position, allowing you to work from the comfort of your home anywhere in the United States. As a Prior Authorization Tech, you will play a crucial role in ensuring that our members receive timely access to necessary medical services by managing the prior authorization process efficiently and accurately. We are looking for individuals with a strong understanding of medical terminology, excellent communication skills, and a commitment to patient care. If you are organized, thrive in a fast-paced environment, and are passionate about contributing to a leading healthcare organization, we encourage you to apply!
Key Responsibilities
- Reviewing and processing prior authorization requests for medical services, procedures, and medications according to established guidelines and policies.
- Communicating with healthcare providers and members to obtain necessary clinical documentation and clarify information.
- Accurately entering data into the authorization system and maintaining comprehensive records.
- Collaborating with clinical staff (nurses, medical directors) to facilitate the authorization process.
- Adhering to all HIPAA regulations and maintaining patient confidentiality.
- Investigating and resolving authorization-related issues or discrepancies.
- Educating providers on prior authorization requirements and processes.
Required Skills
- Proven experience with medical terminology and healthcare procedures.
- Excellent written and verbal communication skills.
- Strong organizational skills and attention to detail.
- Proficiency with computer systems, including electronic health records (EHR) and authorization software.
- Ability to work independently and manage multiple tasks in a remote environment.
- High school diploma or GED equivalent.
Preferred Qualifications
- Associate's or Bachelor's degree in a healthcare-related field.
- Certification as a Medical Assistant (MA), Certified Professional Coder (CPC), or similar.
- Previous experience in a prior authorization role within an insurance company or healthcare provider setting.
- Familiarity with various insurance plans and benefit structures.
Perks & Benefits
- Competitive annual salary.
- Comprehensive health, dental, and vision insurance plans.
- 401(k) retirement savings plan with company match.
- Generous paid time off (PTO) and paid holidays.
- Opportunities for professional development and career advancement.
- Employee assistance program and wellness initiatives.
- Fully remote work model, providing flexibility and work-life balance.
- Equipment provided for your home office setup.
How to Apply
If you are interested in this position, please click the "Apply Now" button below. To ensure your application is properly considered, please prepare the following:
- An up-to-date Resume or CV
- A brief cover letter summarizing your experience and motivation
Applications are reviewed on a rolling basis. Only shortlisted candidates will be contacted for an interview.
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